Individual
HEIDI L BURBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
(603) 433-5093
Mailing address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5503
(603) 431-6703
(603) 433-5093
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R037003
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99003227
—
NH
Enumeration date
12/07/2007
Last updated
12/07/2007
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